Provider First Line Business Practice Location Address: 
CARRETERA 14 B O RINCON SECTOR LAMAS
    Provider Second Line Business Practice Location Address: 
HOSPITAL GENERAL MENONITA
    Provider Business Practice Location Address City Name: 
CAYEY
    Provider Business Practice Location Address State Name: 
PR
    Provider Business Practice Location Address Postal Code: 
00737
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
787-263-1001
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/26/2006